Human Resources - PTO Payout Request / Non-Exempt

This form is for university managers of non-exempt (hourly paid) staff. Submitting this payout request does not automatically pay out PTO. The Payroll Office will notify you if a payout is needed. Payout will require separate departmental processing. If you have questions, email payroll@vanderbilt.edu.

Information about the Employee Leaving Vanderbilt

Employee ID *

Must be 7 characters. Currently Entered: 0 characters.

You can find your employee ID by logging in to C2HR at http://vu.edu/c2hr. Look in the top right column. Your employee ID number will be under your name.

Name *FirstLast

Pay Group *

Termination Date *
/
MM
/
DDYYYY

Retiring? *

Retiring?

YesNo

Hours Worked/Used in Current Pay Period

All hours must be worked/used before accurate payout information can be provided. Please do not input leave balance totals in the PTO and grandfathered sick spaces below. Only include leave hours that were used in the current pay period. If no leave hours were used, input the number (0).